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Individual

PHYLLIS Q. ROBINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3919 OLD LEE HWY, SUITE 83 A, FAIRFAX, VA 22030-2430
(703) 408-6755
(703) 352-8805
Mailing address
3919 OLD LEE HWY, SUITE 83 A, FAIRFAX, VA 22030-2430
(703) 408-6755
(703) 352-8805

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701003491
VA

Other

Enumeration date
04/08/2012
Last updated
04/08/2012
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